Description

Restorative proctocolectomy with ileal pouch-anal anastomosis is the surgical treatment of choice for patients with refractory ulcerative colitis. Long-term complications of this procedure include pouchitis, metabolic complications, strictures, fistulae, pouch failure and pouch neoplasia.1 ,2 One series of 1911 patients with ileal pouch-anal anastomosis found a 3.5% failure rate at 5.5 years with causes including: pelvic sepsis, high stool volume, incontinence and disease remission.3 We present a rare case …